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Updated: May 17, 2025
If leakage occurs into the tissues, the extravasated blood may occlude the vein by pressure, and the symptoms of arterial aneurysm replace those of the arterio-venous form, the systolic bruit persisting, while the venous hum disappears.
This has been the cry of all cities unto man; it is written with charcoal on the walls, on the streets with mud, on men's faces with extravasated blood.
The omentum was preternaturally yellow, and that part which covered the stomach was brownish. The external part of the stomach was extremely discoloured with livid spots; the internal part was extremely inflamed, and covered almost entirely with extravasated blood.
When this is the case, the use of antiseptic dressings is called for to prevent infection and to promote healing, after which massage is employed. When the tension caused by the extravasated blood threatens the vitality of the skin, incisions may be made, if asepsis can be assured. The blood from a hæmatoma may be withdrawn by an exploring needle, and the puncture sealed with collodion.
When the bleeding takes place into the cellular tissue, the aneurysm is said to become diffused, and the extravasated blood spreads widely through the tissues, exerting great pressure on the surrounding structures. The clinical features associated with rupture are sudden and severe pain in the part, and the patient becomes pale, cold, and faint.
I once heard it said of one of them, that the extravasated claret in his phiz might well remind one, as Falstaff says of Bardolph, of hell-fire. The next morning my landlady did me the honour to drink coffee with me, but helped me very sparingly to milk and sugar. It was Sunday, and I went with my landlord to a barber, on whose shop was written "Shaving for a penny."
There was not a piece of sound skin the size of a dollar on the whole body; wounds, scars, bruises, discolored extravasated blood, everywhere even on the soles of the feet there were wounds. The cruel parents asserted that the boy had been so bad that they had been obliged to use severe punishments, and that he finally fell over a bench and broke his neck.
This, however, will be merely superficial, and will not interfere with the absorption and organisation of extravasated blood or dead tissues in the interior. But, on the other hand, should decomposition set in before the internal parts have become securely consolidated, the most disastrous results may ensue.
The wind volleyed; the darkness remained impenetrable, and every sea that came was a Niagara; yet the gallant smack stood to it, and Tom Lennard slumbered after the breath came back to him. His ribs had stood the strain of that rope, but he had really been semi-strangled, and he was marked with two lurid, extravasated bands round his chest.
It should be excised widely; in the lower extremity when there is also extensive destruction of tissue from an antecedent chronic ulcer or osteomyelitis, it may be better to amputate the limb. Injuries. When a nail is contused or crushed, blood is extravasated beneath it, and the nail is usually shed, a new one growing in its place.
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